Balloon mitral valvuloplasty with bifoil catheter: immediate and long-term follow-up results.
This report documents clinical and hemodynamic benefits of balloon mitral valvuloplasty (BMV) using a bifoil balloon catheter from a single center in 415 consecutive cases of rheumatic mitral stenosis (MS). The procedure was successful in 396 (95.2%) patients, with an increase in mitral valve area (MVA) from 0.82+/-0.35 cm2 to 2.21+/-0.24 cm2 (P < 0.001). There were 2 (0.48%) in-hospital deaths, and 6 (1.44%) patients developed acute mitral regurgitation. The procedural and fluroscopy time was reduced significantly from 52+/-11 and 38+/-6 min to 33+/-7 and 19+/-5 min, respectively, after modifications of technique in our last 326 cases. The bifoil balloon catheter technique is safe and effective, and provides excellent hemodynamic benefits which are sustained at long-term follow-up. This technique should be considered as an addition to the existing armamentarium of interventional cardiologists performing mitral balloon valvuloplasty.
Rath
P C
PC
Apollo Heart Institute, Apollo Hospital, Hyderabad, Andhra Pradesh, India.
Tripathy
M P
MP
Das
N K
NK
Rao
P S
PS
Deb
T
T
Chandra
K S
KS
Agarwal
S
S
Dikshit
V
V
Reddy
B S
BS
D000293:Adolescent; D000328:Adult; D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000628:therapy; D012214:Rheumatic Heart Disease / Q000150:complications